| NPI | 1073744520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME128642) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME128642) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2025-06-23 |